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Candidate Information 
Name of Candidate:Click here to enter text.Date Completed:Click here to enter text.
Unit Code:Click here to enter text.
Unit Title:Click here to enter text.
Part I: Assessment Tool Focus
Target group of candidates  Guidance: List and describe the target group of candidates that will be completing this assessment tool Click here to enter text.
Purpose of the assessment tool  Guidance: determine the specific skills and knowledge assessed by the tool Click here to enter text.
Assessment pathway  Guidance: Select the pathway appropriate for the client requirements ☐ RPL ☐ Training and assessment If client would like to be assessed through RPL, identify the evidence the candidate can present. Select all that apply. ☐ Statement of Attainment ☐ References from former employers ☐ References from clients ☐ Work Samples (please specify) ________________________ ­­­­­­­­­­­­­­­________________________ ________________________ ☐ Others (please specify) ________________________ ­­­­­­­­­­­­­­­________________________ ________________________                                                                                  
Context in which the assessment tool will be used  Guidance: determine the environment in which the assessment will be carried out, including real or simulated workplace Click here to enter text.
Industry contacts  Guidance: List at least two industry contacts, individuals or organisations, to conduct industry consultations with. Click here to enter text.
Industry requirements  Guidelines: List specific application/s of the unit relevant to the industry requirements Click here to enter text.
Contextualisation guidelines  Guidance: refers to relevant training package or accredited course contextualisation guidelines Click here to enter text.
Other related documentation to inform assessment tool developmentGuidance: may include but are not limited to: information from the competency standards about: resources required for assessmentassessment contextappropriate assessment methods Click here to enter text.    
Part 2: Assessment Tool Design
Assessment methodsAssessment instrumentsAssessment context
Guidance: select assessment methods to be used the assessment toolGuidance: list at least two different assessment instruments for each selected assessment method, to provide options for collection of evidenceGuidance: indicate the context in which the assessment will take place, and how the assessment instruments will be administered
Creating documents  
Case study  
Written questions  
Scenario-based questions  
Part 3. Supervisor Feedback
Instructions for the Supervisor: In completing this feedback section, answer YES if you believe the candidate has performed and demonstrated the item in the feedback question to a satisfactory level while meeting workplace policies and procedures and industry standards and requirements. Answer NO if you believe the candidate was not able to perform or demonstrate the item in the feedback question to a satisfactory level and was not able to meet workplace policies and procedures and industry standards and requirements. Answer NA if the item in the feedback question does not apply to the task/activity completed by the candidate. Please make specific written comments about the candidate’s performance. These comments are valuable evidence of the candidate’s competency—where they are not provided, the candidate’s assessor may contact you directly to get more information about the candidate’s performance. When you have finished answering this feedback form, please complete the Supervisor Declaration, filling in all fields, at the end of this document and return it to the trainee assessor.
Feedback QuestionsY/NComments
1) Did the candidate arrange all the materials and resources required for the assessment?Choose an item.Click here to enter text.
2) Did the candidate conduct the assessment in a manner that is Fair, Flexible, Valid, and Reliable?Choose an item.Click here to enter text.
3) Did the candidate assess the evidence gathered for Validity, Sufficiency, Authenticity and Currency?Choose an item.Click here to enter text.
4) Did the candidate demonstrate the use of appropriate communication and interpersonal skills to develop a professional relationship with the student?Choose an item.Click here to enter text.
5) Did the candidate demonstrate sensitivity to own differences with the student?Choose an item.Click here to enter text.
6) Did candidate enable two-way feedback with the student?Choose an item.Click here to enter text.
7) Did the candidate address any relevant workplace health and safety issues immediately?Choose an item.Click here to enter text.
8) Did the candidate conduct the assessment according to the assessment plan?Choose an item.Click here to enter text.
9) Did the candidate follow organisational procedures for conducting assessments?Choose an item.Click here to enter text.
10) Did the candidate inform the supervisor and candidate of the assessment decision, according to confidentiality conventions?Choose an item.Click here to enter text.
Part 4. Declaration Section
Candidate Declaration
By affixing my signature below, I am declaring that this document is a true and accurate record of my performance conducting an assessment within the vocational workplace.
Candidate Name:Click here to enter text.Signature:
Date Completed:Click here to enter text.
Supervisor Declaration
By affixing my signature below, I declare that I have observed and supervised the candidate in carrying out the assessment described in this document. I further declare that the comments and feedback I provided in this document are true and accurate observations of the candidate’s performance.
Additional Comments:Click here to enter text.
Supervisor Name:Click here to enter text.Signature
Title/DesignationClick here to enter text.
Contact Details (Email and or phone number)Click here to enter text.
Date Completed:Click here to enter text.
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